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NPI Code Detail

MEDICARE: MARY BETH ROWSE PCC-S

MEDICARE:   MARY BETH  ROWSE  PCC-S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist
2103TM1800XIntellectual & Developmental Disabilities Psychologist
3101YP2500XProfessional CounselorE. 0004301OH

General Provider Information

NPI Number : 1760729008
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY BETH ROWSE PCC-S
Provider Business Mailing Address
First Line : 300 N CLEVELAND MASSILLON RD STE 104
Second Line :
City : AKRON
State : OH
Zip : 44333-2484
Country : US
Telephone Number : 330-310-9878
Fax Number : 877-350-0335
Provider Business Practice Location Address
First Line : 300 N CLEVELAND MASSILLON RD STE 104
Second Line :
City : AKRON
State : OH
Zip : 44333-2484
Country : US
Telephone Number : 330-310-9878
Fax Number : 877-350-0335
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2013
Last Update Date : 03/06/2022

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Directions to “ MARY BETH ROWSE PCC-S” Practice Location

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